Paula Pelletier-Butler, DM, MS, LM

Primary specialty

Advanced Practice MidwifeTaxonomy code 367A00000X

License

LM178 Issued in AZ

Practice address

401 W Aspen Ave
Flagstaff, AZ 86001-5305

Phone

(206) 679-1970

NPI assigned

Feb 7, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Flagstaff Breastfeeding Center, LLC

  • Clinic/Center
  • Flagstaff, AZ
  • NPI 1730670514
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578441600000",
    "number": "1295875334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 W ASPEN AVE",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860015305",
            "telephone_number": "289-556-0000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 W ASPEN AVE",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860015305",
            "telephone_number": "206-679-1970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELLETIER-BUTLER",
        "first_name": "PAULA",
        "name_prefix": "Dr.",
        "credential": "DM, MS, LM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-07",
        "last_updated": "2020-01-08",
        "certification_date": "2020-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "AZ",
            "license": "LM178",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "AZ",
            "license": "MT-17615",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "AZ",
            "license": "LM178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "flagstaffbirthcenter.com",
            "affiliation": "N",
            "address_1": "401 W Aspen Ave",
            "city": "Flagstaff",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "860015305",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Dennis Joseph Peat, M.D.
• Anne-Laure Peaucelle, C-IAYT, RYT
• Codey Todd Pedersen, DO
• Desmyn Pedersen, DO
• Abigail R Pederson, LAC
• Yi-Hsuan Peng, BCBA
• Blake Robert Pennock II, DC
• Dakota Lynn Penrod, SLPA
• Robyn Esperanza Pensinger, RN
• Emily Michelle Caskey Peppers

• Advanced Practice Midwife in Flagstaff, AZ
• Providers in Flagstaff, AZ by specialty
• Advanced Practice Midwife in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.